Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne Memorial Community Health Centers

Organization Pediatrics Physician · NPI 1134771934

Wayne Memorial Community Health Centers is a Pediatrics Physician in Waymart, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Partly verified

Some contact details are missing from the federal record.

Waymart Pediatric Center 27B Woodlands Dr
Waymart, PA 18472-9366
Phone: (570) 488-9550
Fax: (570) 488-9553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1134771934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Waymart Pediatric Center; Waymart Pediatric Center
NPI enumeratedJuly 11, 2019
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address601 Park St, Honesdale, PA 18431-1445

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